Provider Demographics
NPI:1710966825
Name:NEWPATH SLEEP SOLUTIONS
Entity Type:Organization
Organization Name:NEWPATH SLEEP SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:KINSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:515-278-0050
Mailing Address - Street 1:5785 MERLE HAY RD
Mailing Address - Street 2:SUITE #2
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2812
Mailing Address - Country:US
Mailing Address - Phone:515-278-0050
Mailing Address - Fax:515-278-0049
Practice Address - Street 1:5785 MERLE HAY RD
Practice Address - Street 2:SUITE #2
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-2812
Practice Address - Country:US
Practice Address - Phone:515-278-0050
Practice Address - Fax:515-278-0049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0460543Medicaid
IA0460543Medicaid